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Short Environmental Form Part 2

Page 1 of 2 Agency Use Only [If applicable]Project:Date: Short Environmental assessment form Part 2 - Impact AssessmentPart 2 is to be completed by the Lead all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept Have my responses been reasonable considering the scale and context of the proposed action? No, or small impact may occur Moderate to large impact may occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoningregulations? the proposed action result in a change in the use or intensity of use of land? the proposed action impair the character or quality of the existing community?

Page 1 of 2 Agency Use Only [If applicable] Project: Date: Short Environmental Assessment Form Part 2 - Impact Assessment Part 2 is to be completed by the Lead Agency. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by

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